NPI 1528513835

The Healthy Living Center Foundation C/O Primary Care Specialists, INC

Organisation Preferred Provider Organization Norfolk, VA

Practice location

Address: 930 Majestic Avenue Suite 110, Norfolk, VA 23504
Phone: (757) 622-0542
Fax: (757) 627-5809

Authorised official

Name: Olivia M Newby
Title: President
Phone: (757) 622-0542

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1528513835
Entity type: Organization
NPI issued: 17 Aug 2016
Record last updated: 20 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.